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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Slight OCD, Sometimes Constipation, Sometimes Frequent Bowel Movements, Unable To Concentrate, Hairloss, Pimples Around Nose After Masturbation. What Could This Be?

Hi, I wanted to know if I am depressed or what. I have slight OCD , that I repeat a few things. Only there are 2-3 things in total that I repeat but sometimes it increases. Other than this I have some other symptoms as well. I have unstable digestion system, sometimes constipation and sometimes I have to go to washroom little after my meals. Also now I am feeling like I am unable to concentrate. I am a student and I m 22. When I try to focus, it looks like stress on my mind is increasing. Look like everything is being stuffed into my head. Also, I am getting slower and slower day by day. Now when I look back, I remember this slowness started around 6-7 years ago. And I really did not noticed it then. I remember that was the time when it started taking me more time than usual for daily tasks and I remember that was the time when I started reaching a little late at school. From them I can see it increased now. Now I take lots of time while eating and bathing. Late in university class on almost everyday. And all this increasing my stress and I tried my best now to do thing quickly but nothing helped so far. My face also doesn t look fresh. I look sluggish and people say you look in some deep thinking all the time. And yes, I can notice it myself that my mind doesn t stop anytime. It keeps on thinking about different things. Whenever I lay down and free, it started working in one direction or another. With this I have lots of hair dropping everyday, and many of them getting white. I also have continuous big pimples on and around my nose. I use to masturbate even before adolescence . Last night I had a wet dream and lots of liquid flown out. After that I had a very painful tingling sensation(like my penis is going to blown out) and my penis remain fully erected, probably stronger erection than normal. This happened to me earlier 3-4 times in life. The painful tingling sensation goes away when I sleep again after wet dream and when I wake up in the morning everything is normal again. But I have noticed that whenever that happens, I get some really big reddish pimples on or around my nose. When I wake up today, I can see a few on them on right side of nose. I looked swells from right side and really hurts upon touching and do not have any liquid yet. But I said this happened to me earlier so I can say that it will be having liquid(blood etc) after a few days. I m not a native english speaker so please forgive for any English related mistakes. I would really appreciate your help. Could you please tell me what is the problem with me. Edited: As I said earlier, I have problem concentrating. I also forget about things especially names etc... When I started to think about certain things, I keep on repeating my thoughts.... and start thinking or doing sometimes from the start again...... Also I got very angry and flare up on slight things when I am hungry, and when I take meal then everything is again normal......and I also notice that I get tired fairly quickly as compared to my age, especially when I am using my mind. Like I am reading a course book and trying to memorize things, stress will keep on increasing and my whole body muscles feel it.......it looks like I am on my toes and then after some time I take a deep breath and it relaxes my mind as well as whole body muscles.
Tue, 27 Nov 2012
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Psychiatrist 's  Response
Your have really explained your problem very well and I appreciate it. The current symptom profile is suggestive of mild Generalized anxiety disorder in you. You are always on a tight side, and seem to worry a lot and remain preoccupied with your somatic symptoms. you seem to have an irritable bowl which is common with generalized anxiety, hence your bowl habits tend to be moody. The wet dreams followed by pimples on nose are unexplainable and I recommend you to consult a dermatologist if the swelling persists and becomes troublesome. Do not worry as there seem to be no symptoms of depression or OCD currently. You may benefit from a course of Low dose anxiolytic agent ( say a Low dose SSRI with pregabalin) along with daily practice of Meditation / Muscle relaxation exercises. You may need some initial training in learning formal procedure and may consult expert for it or there is enough genuine material on net to learn meditation techniques / relaxation exercises.
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Slight OCD, Sometimes Constipation, Sometimes Frequent Bowel Movements, Unable To Concentrate, Hairloss, Pimples Around Nose After Masturbation. What Could This Be?

Your have really explained your problem very well and I appreciate it. The current symptom profile is suggestive of mild Generalized anxiety disorder in you. You are always on a tight side, and seem to worry a lot and remain preoccupied with your somatic symptoms. you seem to have an irritable bowl which is common with generalized anxiety, hence your bowl habits tend to be moody. The wet dreams followed by pimples on nose are unexplainable and I recommend you to consult a dermatologist if the swelling persists and becomes troublesome. Do not worry as there seem to be no symptoms of depression or OCD currently. You may benefit from a course of Low dose anxiolytic agent ( say a Low dose SSRI with pregabalin) along with daily practice of Meditation / Muscle relaxation exercises. You may need some initial training in learning formal procedure and may consult expert for it or there is enough genuine material on net to learn meditation techniques / relaxation exercises.